| NPI | 1790169530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL 124371) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: FL 124371) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2016-10-17 |