| NPI | 1124012117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101260186) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 9601334) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NC 9601334) | |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2022-01-28 |