NPI | 1982900015 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A135772) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A135772) |
Enumeration Date | 2011-02-08 |
Last Update Date | 2018-04-03 |