| NPI | 1740097815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA PA65566) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA PA65566) |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2025-02-03 |