| NPI | 1174605414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: DE C10008887) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: MA 227564) |
| 2080S0010X Pediatrics, Sports Medicine (Licence: PA MD435461) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2012-02-17 |