| NPI | 1740471424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: MS 21063) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 55553) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2017-03-06 |