| NPI | 1144718974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0131X (Licence: NY N007151) |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NY N007151) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2022-12-10 |