| NPI | 1689625642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 81839) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: MA MA81839) |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: MA MA81839) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2014-11-19 |