| NPI | 1013353556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: NY 288609) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 288609) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2021-12-20 |