| NPI | 1467015081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: TX W0306) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 79146) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2025-08-04 |