| NPI | 1821476706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CT 67516) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 263513) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2021-08-12 |