| NPI | 1891172136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 309457) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 60843) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TN 60843) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2021-09-09 |