| NPI | 1326002254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: PA MD043808E) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD043808E) |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: PA MD043808E) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2020-10-06 |