| NPI | 1245466036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 073800) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 241059) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: TX Q0092) | |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2015-11-17 |