| NPI | 1902369366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A194917) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX T9643) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2024-07-02 |