| NPI | 1730113358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 238635) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MA 238635) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 238635) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-09-13 |