| NPI | 1710326467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: MO 2019031079) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX W0771) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2025-08-19 |