| NPI | 1972569531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD211913) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G70017) |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: KS 04-39813) | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CA G70017) | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2022-12-15 |