| NPI | 1407319551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA 347011) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35.150200) |
| Enumeration Date | 2019-04-06 |
| Last Update Date | 2025-09-05 |