| NPI | 1083886337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: GA 84482) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 84482) |
| 207X00000X Orthopaedic Surgery (Licence: NY 280400-1) | |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2025-10-22 |