| NPI | 1649790403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA OP61461145) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA R-11031) |
| 208600000X Surgery (Licence: IA 06055) | |
| 208600000X Surgery (Licence: WA OP61461145) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2024-04-16 |