| NPI | 1780940163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ME MD22408) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: ME MD22408) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2018-09-28 |