| NPI | 1134201296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2005-001915) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 01915) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2019-08-30 |