| NPI | 1730384413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MO 2013018503) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 34.010491) |
| 207X00000X Orthopaedic Surgery (Licence: KY 03478) | |
| 207X00000X Orthopaedic Surgery (Licence: OR DO178709) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OR DO178709) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2024-08-12 |