| NPI | 1053389981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: LA 348742) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL 19378) |
| 207X00000X Orthopaedic Surgery (Licence: FL ME143767) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2025-09-09 |