| NPI | 1366464950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: WV 31075) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: IL 036127325) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: CO 49252) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: MT 77958) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: FL ME 72169) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: NJ 25MA05751800) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: IL 036127325) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: OH 35-097350) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: ME 016753) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: NY 246981) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: OK 28316) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2023-01-06 |