| NPI | 1326038787 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A95550)  | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD00041289)  | 
| 207X00000X Orthopaedic Surgery (Licence: KY 58000)  | |
| Enumeration Date | 2005-10-26 | 
| Last Update Date | 2025-05-21 |