| NPI | 1912337486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: VA 0101266466) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101266466) |
| 207X00000X Orthopaedic Surgery (Licence: PA MT204487) | |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2021-01-26 |