NPI | 1407151566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: CA A204086) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A204086) |
207X00000X Orthopaedic Surgery (Licence: TX 1407151566) | |
Enumeration Date | 2011-01-21 |
Last Update Date | 2025-10-03 |