| NPI | 1790058717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: IL 36.146625) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 34.012612) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2021-08-24 |