| NPI | 1376530717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WV 01625) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD039107L) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2022-04-06 |