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 |