| NPI | 1730332701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OH 122609) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY R1914) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX P6588) | |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2023-05-15 |