| NPI | 1265690119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: WA MD60490776) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: WA MD60490776) | |
| 207X00000X Orthopaedic Surgery (Licence: WA MD60490776) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2014-12-22 |