| NPI | 1366559882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NH 9991) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 59512) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2012-08-17 |