| NPI | 1003313776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL ME167567) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 95755) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2024-08-22 |