| NPI | 1326003443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX V4224) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME85303) |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: LA 338102) | |
| 207X00000X Orthopaedic Surgery (Licence: IL 036.165884) | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: IL 036.165884) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2025-02-19 |