| NPI | 1881980944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR DO182077) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR PG154569) |
| 207X00000X Orthopaedic Surgery (Licence: NC 2016-00388) | |
| 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: NC 2016-00388) | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2020-11-03 |