| NPI | 1154717296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX T1203) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 207X00000X) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2024-06-19 |