| NPI | 1689630816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID M14634) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OR MD21891) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2021-01-04 |