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 |