| NPI | 1629420609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA OS018991) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA OT017010) |
| 207X00000X Orthopaedic Surgery (Licence: MO 2021009091) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: PA OS018991) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2022-09-01 |