| NPI | 1437174489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OR MD189771) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD00045467) |
| 207X00000X Orthopaedic Surgery (Licence: OR MD189771) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WA MD00045467) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2024-08-27 |