| NPI | 1336583194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME146382) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY R3273) |
| 207X00000X Orthopaedic Surgery (Licence: TN 58841) | |
| 207X00000X Orthopaedic Surgery (Licence: KY TP111) | |
| 207X00000X Orthopaedic Surgery (Licence: KY 52388) | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: TN 58841) | |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2020-09-04 |