| NPI | 1336129964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS 04-44964) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 42073) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NY 231590) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2021-07-15 |