| NPI | 1578024170 |
|---|---|
| Former Name | LYDIA GRACE KORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC 92082) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101271452) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2024-06-28 |