| NPI | 1154587541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: KY 45472) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 45472) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2013-04-18 |