| NPI | 1609159763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: HI AMD502) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00260300) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2019-12-23 |