| NPI | 1710129630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MO 2017032648) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2017032648) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2017032648) | |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2019-06-24 |