| NPI | 1508077173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NY 271676-1) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 271676-1) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NJ 25MA09465500) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2023-10-19 |