| NPI | 1659664811 |
|---|---|
| Former Name | MIA SMUCNY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD60754993) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: WA MD60754993) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2020-01-08 |