| NPI | 1326577081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 328854) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI MD18293) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2024-04-01 |