| NPI | 1477940922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WV 30403) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 210048) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: UT 11725386-1205) | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2021-08-23 |