| NPI | 1497013908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME139593) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI MD15855) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2022-04-01 |