| NPI | 1851929574 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD61667893) | 
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WA MD61667893) | 
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: WA MD61667893) | |
| Enumeration Date | 2020-03-29 | 
| Last Update Date | 2025-06-05 |