| NPI | 1366417883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: TX H8341) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX H8341) |
| Enumeration Date | 2006-02-19 |
| Last Update Date | 2020-03-12 |