| NPI | 1609303254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 1013290) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 315923) |
| 207X00000X Orthopaedic Surgery (Licence: IL 125070159) | |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2023-08-08 |