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: WA OP61408334) |
Enumeration Date | 2018-05-21 |
Last Update Date | 2023-09-28 |