| NPI | 1851929574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: AZ 80146) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD61667893) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WA MD61667893) | |
| 207X00000X Orthopaedic Surgery (Licence: AZ 80146) | |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2026-07-20 |