NPI | 1770764995 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: OR MD152753) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: UT 5761136-1205) |
Enumeration Date | 2007-11-15 |
Last Update Date | 2024-08-27 |