| NPI | 1255542999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: TX M5170) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX M5170) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2018-07-30 |