| NPI | 1396972733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD466348) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 00000) |
| 207X00000X Orthopaedic Surgery (Licence: NJ 25MA10995200) | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2021-09-28 |