NPI | 1750709242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NV 20873) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV 20873) |
Enumeration Date | 2014-04-01 |
Last Update Date | 2022-11-10 |