| NPI | 1700981529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MT 5176) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301044361) |
| 207X00000X Orthopaedic Surgery (Licence: CA G53605) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2008-07-10 |