| NPI | 1245493147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A151643) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 268314) |
| 207X00000X Orthopaedic Surgery (Licence: MI 4301092927) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2018-03-17 |