| NPI | 1619132107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME121794) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA ML60020737) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2015-03-11 |