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 |