NPI | 1134345580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: IA MD48950) |
Additional Taxonomies | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: MI 4301085685) |
207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: MT 12646) | |
Enumeration Date | 2007-04-17 |
Last Update Date | 2021-11-02 |