| NPI | 1689002115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 5501) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: AZ 5501) |
| 282N00000X General Acute Care Hospital (Licence: AZ 5501) | |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2018-04-11 |