| NPI | 1699331066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 77001) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: UT 13867891-1205) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: UT 13867891-1205) | |
| Enumeration Date | 2019-05-11 |
| Last Update Date | 2025-06-25 |