NPI | 1710273982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NJ 25MA10413700) |
Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CT 64842) |
207X00000X Orthopaedic Surgery (Licence: PA MT199166) | |
Enumeration Date | 2011-06-25 |
Last Update Date | 2020-12-10 |