| NPI | 1487107736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: MI 4301500445) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: MO 2016027985) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2023-06-16 |