| NPI | 1669836326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 292864) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2021-01995) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2022-10-21 |