| NPI | 1427555846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 327115) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207X00000X Orthopaedic Surgery (Licence: NJ 25MA12067900) | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2024-11-18 |