| NPI | 1689996142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NJ 25ma09331900) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 250591) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2014-01-15 |