| NPI | 1992906424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR DO152955) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 9147) |
| 207X00000X Orthopaedic Surgery (Licence: WA OP60182630) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2023-12-28 |