| NPI | 1346583200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 71284) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101264239) |
| 207X00000X Orthopaedic Surgery (Licence: MN 65761) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2020-09-16 |