| NPI | 1932514718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 68501) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0062150) |
| 207X00000X Orthopaedic Surgery (Licence: KY R3470) | |
| 207X00000X Orthopaedic Surgery (Licence: NY 303605) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2021-10-12 |