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 |