| NPI | 1508203449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101257948) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: UT 12792808-1205) |
| 207X00000X Orthopaedic Surgery (Licence: CO DR.0062586) | |
| Enumeration Date | 2013-06-02 |
| Last Update Date | 2024-06-10 |