| NPI | 1316208929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OH 34.011727) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34.011727) |
| 207QS0010X Family Medicine, Sports Medicine (Licence: OH 34.011727) | |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2020-11-09 |