| NPI | 1023509502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA OP61408334) |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: CA 20A24271) |
| 207X00000X Orthopaedic Surgery (Licence: CA 20A24271) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: WA OP61408334) | |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2026-05-26 |