| NPI | 1780940163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CO MD.0054289) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ME MD22408) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: ME MD22408) | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2025-12-03 |