| NPI | 1124070214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ME 017380) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: UT 6049436-1205) |
| 207X00000X Orthopaedic Surgery (Licence: PA MD423432) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-11-22 |