| NPI | 1467610907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 101256392) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NC 2019-02852) |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2023-10-30 |