| NPI | 1144600271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NJ 25MA11278600) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT209191) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2021-12-27 |