| NPI | 1811218712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA C175445) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OR MD172175) |
| 207X00000X Orthopaedic Surgery (Licence: OR MD1215) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA C175445) | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2026-06-27 |