| NPI | 1063616712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A109393) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KY 42445) |
| 207X00000X Orthopaedic Surgery (Licence: NY 241425) | |
| 207X00000X Orthopaedic Surgery (Licence: KY 42445) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A109393) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2011-10-01 |