| NPI | 1922063312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: KY 37525) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 37525) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2022-09-23 |