| NPI | 1235668948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: GA 100784) |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: CO DR.0070640) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT213512) | |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2026-03-25 |