| NPI | 1669663787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: AZ 59793) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 59793) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MN 52788) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MN 52788) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AZ 59793) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2025-04-23 |