| NPI | 1174865216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: WA MD60944601) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD60944601) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2021-08-25 |