| NPI | 1942264361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WV 26123) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CT 030354) |
| 207X00000X Orthopaedic Surgery (Licence: WV 26123) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2015-01-14 |