| NPI | 1154395978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NJ 25MA06096300) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 175681-1) |
| 174400000X Specialist | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NY 176581-1) | |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2018-06-12 |