| NPI | 1164711149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D84020) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 265848) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2017-09-13 |