| NPI | 1376573618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: PA MD0426407) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD0426407) |
| 207QS0010X Family Medicine, Sports Medicine (Licence: PA md426407) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2008-08-25 |