| NPI | 1760689525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A109362) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2008011791) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2026-06-23 |