| NPI | 1932252970 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD175434) | 
| Additional Taxonomies | 208600000X Surgery (Licence: MA 225417) | 
| 2086S0105X Surgery, Surgery of the Hand (Licence: CA A116738) | |
| Enumeration Date | 2007-01-22 | 
| Last Update Date | 2019-01-11 |