| NPI | 1477676047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA 20A10879) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101015853) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NM A144208) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2024-03-14 |