| NPI | 1235792615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 328429) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA12339900) |
| Enumeration Date | 2019-04-21 |
| Last Update Date | 2024-07-23 |