| NPI | 1376705657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: LA MD.204197) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: LA PGY 1 LSUN ORTH) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2017-12-20 |