| NPI | 1821223157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX BP10054766) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT194952) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT194952) | |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2020-09-09 |