| NPI | 1003820630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NY 193454) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 193454) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-12-18 |