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 |