| NPI | 1245225234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CT 63954) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD063354L) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2021-11-10 |