NPI | 1639632243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AZ R77517) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ R77517) |
Enumeration Date | 2019-04-10 |
Last Update Date | 2024-05-29 |