| NPI | 1760654651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WY 13178A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AK 8081) |
| 207X00000X Orthopaedic Surgery (Licence: CO 48707) | |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2024-04-29 |