| NPI | 1255771630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO 2013021844) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 05-37325) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2026-04-02 |