| NPI | 1376999680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA 338143) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A173862) |
| 207X00000X Orthopaedic Surgery (Licence: MA 267041) | |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2023-09-22 |