NPI | 1174865216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: WA MD60944601) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD60944601) |
Enumeration Date | 2013-03-26 |
Last Update Date | 2024-11-20 |