| NPI | 1063774529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX S9469) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101255126) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2024-08-27 |