| NPI | 1356570741 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: SC 88654)  | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2009017487)  | 
| 207X00000X Orthopaedic Surgery (Licence: WV 26335)  | |
| Enumeration Date | 2009-07-07 | 
| Last Update Date | 2022-10-21 |