| NPI | 1063918134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CT 79249) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME160870) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2024-08-22 |