NPI | 1336582063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: VA 0102206566) |
Additional Taxonomies | 171000000X Military Health Care Provider (Licence: CA 20A13676) |
207X00000X Orthopaedic Surgery (Licence: CA 20A13676) | |
207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CA 20A13676) | |
Enumeration Date | 2013-04-11 |
Last Update Date | 2023-07-27 |