| NPI | 1871755397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301102476) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DE C1-0010994) |
| 207X00000X Orthopaedic Surgery (Licence: PA MD446638) | |
| 207X00000X Orthopaedic Surgery (Licence: PA MT192911) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MI 4301102476) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2020-08-10 |