| NPI | 1477864429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD207442) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NM MD2015-0520) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: HI 19841) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CO DR.0060743) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WA MD61425913) | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2023-12-18 |