| NPI | 1407018948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CT 052800) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI LP01350) |
| 207X00000X Orthopaedic Surgery (Licence: RI 14191) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2014-08-11 |