| NPI | 1306846613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 52104) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A108854) |
| 207X00000X Orthopaedic Surgery (Licence: WA 60286925) | |
| 207X00000X Orthopaedic Surgery (Licence: NC 2014-01837) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2020-06-06 |