| NPI | 1417335183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: WA MD61133646) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD61133646) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2022-08-04 |