| NPI | 1962069336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A202567) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD61526428) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2025-09-25 |