| NPI | 1508123175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: AZ 55599) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35.126396) |
| 207X00000X Orthopaedic Surgery (Licence: AZ 55599) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2024-03-25 |