| NPI | 1023053063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL ME152135) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 079947) |
| 207X00000X Orthopaedic Surgery (Licence: FL ME152135) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: PA MD423169) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2022-02-15 |