| NPI | 1679646954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D63615) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DC 3016185500) |
| 207X00000X Orthopaedic Surgery (Licence: CA A75667) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2021-06-24 |