| NPI | 1902877384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 78275) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 034018) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2021-04-02 |