| NPI | 1386140085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: WA MD.MD.70126942) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD.MD.70126942) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2026-10-02 |