| NPI | 1982672838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS 94-09566) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IA R-12693) |
| 363A00000X Physician Assistant (Licence: KS 15-01041) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2023-05-15 |