| NPI | 1154585438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine (Licence: GA 74734) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL TRN13066) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2022-07-21 |