| NPI | 1578797015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT195112) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT195112) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |