| NPI | 1285699082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OH 35.085470) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 219258) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2021-12-22 |