| NPI | 1366705147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX R2230) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 63573) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2025-12-17 |