NPI | 1205883642 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NV 1103) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA 20A8358) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NV 1103) | |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA 20A8358) | |
Enumeration Date | 2006-05-30 |
Last Update Date | 2014-01-24 |