| NPI | 1750942876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 76962-20) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: WI 76962-20) |
| 208000000X Pediatrics (Licence: MI 4351045677) | |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2025-08-11 |