| NPI | 1649338484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 235772) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA069134) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2008-07-16 |