NPI | 1861056392 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: LA 340913) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP10067746) |
Enumeration Date | 2019-04-30 |
Last Update Date | 2024-06-28 |