| NPI | 1609133859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD467645) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ MA10656400) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2020-07-30 |