| NPI | 1124117585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 23481) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G79311) |
| 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine (Licence: AZ 23481) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-02-14 |