| NPI | 1750671806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: OH 35131982) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35131982) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: MA 266541) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2019-02-28 |