| NPI | 1801002399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CT 055672) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301085402) |
| 207X00000X Orthopaedic Surgery (Licence: CT 055672) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX P0189) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2022-09-29 |