| NPI | 1679189112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 290415) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MA 290415) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MA 290415) | |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2022-02-24 |