| NPI | 1669966495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 57950) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC LL52737) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2023-07-24 |