| NPI | 1164778668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: OH 35.136244) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 56546) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2021-03-22 |