| NPI | 1043605033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: OH 35.152956) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 286840) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2025-07-14 |