| NPI | 1447631379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: IA 48272) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA 208991) |
| 207X00000X Orthopaedic Surgery (Licence: MN 30527) | |
| 207X00000X Orthopaedic Surgery (Licence: MN 66454) | |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2021-08-31 |