| NPI | 1649303777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA 335272) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO 45814) |
| 207X00000X Orthopaedic Surgery (Licence: NM A-2484-21) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: LA 335272) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2023-03-18 |