NPI | 1164409504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101043925) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101043925) |
Enumeration Date | 2005-12-28 |
Last Update Date | 2025-06-27 |