| NPI | 1962060558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NC RTL24-0190) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA R-11602) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2024-06-28 |