| NPI | 1295025138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: LA 303479) |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: UT 9785244-8905) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: LA 303479) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: UT 9785244-8905) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2023-04-05 |