| NPI | 1194354951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD487615) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA12498400) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2025-10-10 |