| 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 |