| 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 | 2025-07-30 |