| NPI | 1619265238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: MA 269757) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101019149) |
| Enumeration Date | 2011-07-17 |
| Last Update Date | 2023-04-24 |