| NPI | 1326492695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 98046) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME156456) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207X00000X Orthopaedic Surgery (Licence: DC ME156456) | |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2024-05-17 |