| NPI | 1548932544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AL 2008) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: OH 54866) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2022-10-04 |