| NPI | 1609004613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: KS 04-38140) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2009013726) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2023-10-20 |