| NPI | 1659716223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CT 56521) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 56521) |
| 2080S0010X Pediatrics, Sports Medicine (Licence: CT 56521) | |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: CT 56521) | |
| 208000000X Pediatrics (Licence: CT 56521) | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2023-06-12 |