| NPI | 1871630814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MA 279181) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 279181) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2019-06-18 |