| NPI | 1689831323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 237890) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: MA 243933) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WA MD60217683) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2021-03-02 |