| NPI | 1124082359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA C54414) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD0426365) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2022-10-21 |