NPI | 1134653041 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VT 0420016933) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 40763) |
Enumeration Date | 2017-04-18 |
Last Update Date | 2023-08-30 |