| NPI | 1609288612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: VA 0101269718) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT206604) |
| Enumeration Date | 2014-05-25 |
| Last Update Date | 2021-02-02 |