| 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 |