| NPI | 1265992333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NY 338431) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2024-01088) |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2025-09-17 |