| NPI | 1457733784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WA OP61153581) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101021906) |
| 207X00000X Orthopaedic Surgery (Licence: CA 20A18213) | |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2021-11-02 |