| NPI | 1790931970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NY 247315) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD433700) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2020-11-17 |