NPI | 1427671072 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MN 69821) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IA R-11804) |
208100000X Physical Medicine & Rehabilitation (Licence: MN 69821) | |
Enumeration Date | 2020-05-18 |
Last Update Date | 2024-06-19 |