NPI | 1215314356 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101276508) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101276508) |
208000000X Pediatrics (Licence: CA A168951) | |
Enumeration Date | 2015-04-27 |
Last Update Date | 2022-11-04 |