| NPI | 1477529543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: VA 0101256385) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD421830) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2023-11-27 |