| NPI | 1083047831 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME169354) | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI MD19079) | 
| Enumeration Date | 2013-08-15 | 
| Last Update Date | 2024-07-02 |