| NPI | 1174294128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NC 5015148) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: NC 138805) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2022-05-12 |