| NPI | 1922362755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: PA MT201680) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT201680) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2021-08-20 |