NPI | 1932306404 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301099111) |
Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: MA 243174) |
207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: MI 4301099111) | |
Enumeration Date | 2007-06-28 |
Last Update Date | 2012-09-13 |