| NPI | 1356457329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: CT 047670) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI LP00158) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 047670) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2009-10-26 |