| NPI | 1144254780 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: WI 49413)  | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 49413)  | 
| Enumeration Date | 2006-07-10 | 
| Last Update Date | 2021-01-26 |