| NPI | 1427493576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA 313384) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 62859) |
| 207X00000X Orthopaedic Surgery (Licence: NC 2018-00331) | |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2023-08-02 |