| NPI | 1760524722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: WA MD00040103) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD00040103) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2011-09-28 |