| NPI | 1679866677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: TX N2641) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX N2641) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2025-02-06 |