| NPI | 1841264454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: FL ME143244) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NH LT 3316) |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: IL 036.131686) | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: TX L6587) | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NH LT 3316) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2020-01-13 |