| NPI | 1649833146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WI 85746-20) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4351046554) |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2025-06-26 |