| NPI | 1376534743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 174409) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA05560700) |
| 207X00000X Orthopaedic Surgery (Licence: MA 56549) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2007-07-08 |