| NPI | 1215001730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: MI 4301058077) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301058077) |
| 207X00000X Orthopaedic Surgery (Licence: MI 4301058077) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2022-11-14 |