| NPI | 1649264953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: VA 0101055434) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101055434) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2023-08-10 |