| NPI | 1548889256 |
|---|---|
| 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: MA 1025181) |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2025-09-26 |