| NPI | 1609372275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NE 37092) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME165967) |
| 207X00000X Orthopaedic Surgery (Licence: NC 239174) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2026-07-09 |