| NPI | 1053609073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: NV 16821) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NE 6556) |
| 207X00000X Orthopaedic Surgery (Licence: NV 16821) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2024-04-22 |