| NPI | 1013993583 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC 14493)  | 
| Additional Taxonomies | 174400000X Specialist (Licence: SC 14493)  | 
| Enumeration Date | 2005-12-16 | 
| Last Update Date | 2017-10-03 |