| NPI | 1912268244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: GA 93401) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 93401) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2022-12-13 |