NPI | 1700346160 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: MN 67764) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 67764) |
Enumeration Date | 2019-03-21 |
Last Update Date | 2023-06-30 |