NPI | 1154946713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 20A23806) |
Additional Taxonomies | 208D00000X General Practice (Licence: MI 5101026382) |
Enumeration Date | 2020-06-10 |
Last Update Date | 2025-08-08 |