| NPI | 1679887103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NJ 25MA09460000) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ xxx) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2018-06-12 |