| NPI | 1104288232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: NJ 25MA11623200) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 89282) |
| 207X00000X Orthopaedic Surgery (Licence: NJ 25MA11623200) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2022-09-23 |