| NPI | 1235393836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 69950) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: NE 28403) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2008018502) | |
| Enumeration Date | 2008-07-12 |
| Last Update Date | 2023-06-30 |