| NPI | 1942590609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD461018) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA10164400) |
| 207X00000X Orthopaedic Surgery (Licence: NY 282856-1) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2022-02-25 |