| NPI | 1134216286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CO 40740) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO 40740) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2016-05-16 |