| NPI | 1477864221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2010018513) |
| Enumeration Date | 2010-06-27 |
| Last Update Date | 2012-04-19 |