| NPI | 1073739744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: FL ME113472) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME113472) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2018-09-27 |