| NPI | 1891795134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 120510) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 051106) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: GA 051106) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2022-09-16 |