| NPI | 1043366628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0082740) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2017-03-01 |