| NPI | 1962858670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: FL ME157327) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME157327) |
| 207X00000X Orthopaedic Surgery (Licence: TN 64058) | |
| 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: TN 64058) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2023-11-17 |