| NPI | 1487919643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: GA 92240) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX P5239) |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: TX P5239) | |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2024-08-20 |