| NPI | 1780768192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: GA 059591) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD00042731) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2010-04-09 |