| NPI | 1740281658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: FL ME95734) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME95734) |
| 207X00000X Orthopaedic Surgery (Licence: FL ME95734) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2011-10-07 |