| NPI | 1700315983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: TX T5875) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP10060914) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2023-11-09 |