| NPI | 1770902819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: TX U0849) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL MD.34804) |
| 207X00000X Orthopaedic Surgery (Licence: CA A159925) | |
| 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: VA 0101269918) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2023-02-06 |