| NPI | 1568509842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NH 20804) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO 44431) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: CO 44431) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-09-11 |