| NPI | 1134324825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 5695) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TN 2782) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AL DO1125) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OK 5695) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2021-02-11 |