| NPI | 1851476675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WA MD00014585) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD00014585) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2011-09-28 |