| NPI | 1700204997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E-13258) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD60943546) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: WA MD60943546) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2020-08-12 |