| NPI | 1669811485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX T3574) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR FE203670) |
| 207X00000X Orthopaedic Surgery (Licence: PA MT204740) | |
| Enumeration Date | 2013-06-15 |
| Last Update Date | 2021-10-26 |