| NPI | 1841242351 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CT 66478)  | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 66478)  | 
| 207X00000X Orthopaedic Surgery (Licence: CA A79907)  | |
| 208600000X Surgery (Licence: CA A79907)  | |
| Enumeration Date | 2006-05-16 | 
| Last Update Date | 2020-10-15 |