NPI | 1609927342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX P3902) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX P3902) |
207X00000X Orthopaedic Surgery (Licence: NE 23310) | |
207X00000X Orthopaedic Surgery (Licence: VA 0101252896) | |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: LA MD.205784) | |
Enumeration Date | 2007-01-16 |
Last Update Date | 2025-03-29 |