| NPI | 1114345873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 304931) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2019011179) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2020-09-10 |