| NPI | 1265889224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2022-00717) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NC 202200717) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MA 287186) | |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2025-10-03 |