NPI | 1275988586 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: TX S9745) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 65509) |
207X00000X Orthopaedic Surgery (Licence: TX BP10056164) | |
Enumeration Date | 2016-04-25 |
Last Update Date | 2023-08-01 |