| NPI | 1609895044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: OH 35069567) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35-069567) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-12-07 |