| NPI | 1003899667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VT 042-0011335) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 1973931) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NY 197393-1) | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2021-02-26 |