| NPI | 1568572675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 023765) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: TN 023765) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-03-07 |