NPI | 1255820817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 59739) |
Additional Taxonomies | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: OH 35.147723) |
Enumeration Date | 2018-05-08 |
Last Update Date | 2024-08-12 |