| NPI | 1053408708 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: TX P1251)  | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: UT 6583678-1205)  | 
| Enumeration Date | 2006-10-06 | 
| Last Update Date | 2025-08-07 |