| NPI | 1508395799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: PA MD481740) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP10060915) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2023-10-16 |