| NPI | 1073173258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: PA OS024239) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5151013974) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2024-12-02 |