| NPI | 1164865796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WY 12214A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2018013765) |
| Enumeration Date | 2013-04-13 |
| Last Update Date | 2019-09-24 |