| NPI | 1861592404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MA 230751) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI MD11586) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: RI MD11586) | |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2011-10-31 |