NPI | 1396165759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: TX S4597) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX S4597) |
Enumeration Date | 2014-04-23 |
Last Update Date | 2021-06-03 |