| NPI | 1518385392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA 459452) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 65163) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MN 65163) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: PA 459452) | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2021-08-03 |