NPI | 1598749343 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WI 42485) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 42485) |
207Q00000X Family Medicine (Licence: MN 44596) | |
Enumeration Date | 2005-12-05 |
Last Update Date | 2024-09-05 |