| NPI | 1689345548 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208600000X Surgery (Licence: PA PN284994) | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA PN284994) | 
| Enumeration Date | 2021-09-21 | 
| Last Update Date | 2021-09-21 |