| NPI | 1518520444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AZ 76737) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD61552825) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2025-08-11 |