| NPI | 1720437742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX T9679) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: TX T9679) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2023-04-25 |