| NPI | 1740316116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: ID M-11798) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA L-218172) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: LA MD.203732) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2016-01-06 |