| NPI | 1053375170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NC 2012-02054) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2012-02054) |
| 207X00000X Orthopaedic Surgery (Licence: MI 4301069717) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2019-06-03 |