NPI | 1023308988 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NJ 25MA09920700) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA09920700) |
Enumeration Date | 2011-04-13 |
Last Update Date | 2022-07-21 |