| NPI | 1376174425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX T0239) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 282724) |
| 207X00000X Orthopaedic Surgery (Licence: NY 312950) | |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2024-04-29 |