| NPI | 1356789192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 84152) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT204732) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2023-02-20 |