NPI | 1518636307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 61551) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA 61551) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-09-07 |
Last Update Date | 2024-03-13 |