| NPI | 1629334941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA10367200) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 287195) |
| 207X00000X Orthopaedic Surgery (Licence: PA MD464860) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NJ 25MA10367200) | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2024-05-09 |