NPI | 1346366523 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: OR MD29433) |
Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: WA MD00048044) |
207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: MD D0064880) | |
Enumeration Date | 2007-03-21 |
Last Update Date | 2022-07-21 |