| NPI | 1710390547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: AZ 61100) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ R74391) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2020-12-10 |