NPI | 1740741602 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 13869996-1205) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: UT 13869996-1205) |
Enumeration Date | 2019-03-25 |
Last Update Date | 2024-04-25 |