| NPI | 1285639955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: MS 24101) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME89974) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: MN 58662) | |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2016-05-04 |