| NPI | 1497098859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: FL ME153203) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT204402) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2022-01-05 |