NPI | 1053445049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101233877) |
Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: VA 0101233877) |
207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: PA MD428981) | |
Enumeration Date | 2007-03-14 |
Last Update Date | 2010-03-02 |