| NPI | 1659634574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME138169) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125062145) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2020-10-21 |