| NPI | 1639105240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: MA 220128) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 220128) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2012-10-10 |