| NPI | 1629083118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OR MD25988) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR MD25988) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2024-08-27 |