| NPI | 1942761580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: UT 14210189-1205) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207X00000X Orthopaedic Surgery (Licence: OR PG198843) | |
| 208600000X Surgery (Licence: IL 125.073820) | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2025-07-25 |