| NPI | 1184129116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101268167) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: VA 0101268167) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2023-07-24 |