| NPI | 1275643199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 128009) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101236659) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-09-16 |