| NPI | 1174727747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX M5326) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2010-00679) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2022-01-31 |