| NPI | 1932408473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WY TL6527) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MT 59889) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2021-02-02 |