| NPI | 1982135448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA 61258500) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 227112) |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2023-07-11 |