| NPI | 1316477391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 271205) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 315465) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2025-05-16 |