| NPI | 1578909396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: GA 83373) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 57954) |
| 207X00000X Orthopaedic Surgery (Licence: GA 83373) | |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2019-06-28 |