| NPI | 1760616924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: AL 32572) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX 527530) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: TX p3157) | |
| Enumeration Date | 2009-05-03 |
| Last Update Date | 2016-05-25 |