| NPI | 1992098123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CT 61342) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI MD15395) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: CT 61342) | |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2021-05-25 |