| NPI | 1629208210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: FL ME120354) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO 47474) |
| 207X00000X Orthopaedic Surgery (Licence: MA 279303) | |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2020-08-24 |