| NPI | 1568090728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101288431) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 94134) |
| 207X00000X Orthopaedic Surgery (Licence: NC 2025-01153) | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2026-08-25 |