| NPI | 1184750820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MA 247621) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 247621) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NY 255399) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2022-06-07 |