| NPI | 1063421477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 333008) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 333008) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2023-07-05 |