| NPI | 1780022749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 069029) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10047614) |
| 207R00000X Internal Medicine (Licence: MI 5101023783) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX R1236) | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2022-09-29 |