NPI | 1144583261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35.149068) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD60739543) |
207X00000X Orthopaedic Surgery (Licence: GA 000000) | |
Enumeration Date | 2012-06-22 |
Last Update Date | 2024-05-13 |