| NPI | 1780035923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 34.017340) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA OT017472) |
| 207X00000X Orthopaedic Surgery (Licence: MA 1014268) | |
| 207X00000X Orthopaedic Surgery (Licence: KY 05843) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2024-09-20 |