| NPI | 1316196975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 44408) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0078639) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2020-10-14 |