| NPI | 1770782658 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: DE C20010446)  | 
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: DE C7-0005035)  | 
| Enumeration Date | 2007-07-12 | 
| Last Update Date | 2013-08-30 |