| NPI | 1760703490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: TN 51902) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 60179-20) |
| 208000000X Pediatrics (Licence: WI 60179-20) | |
| 208000000X Pediatrics (Licence: TN 51902) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2014-10-24 |