| NPI | 1710249958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 292819) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 82949) |
| 207X00000X Orthopaedic Surgery (Licence: NC 182384) | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2022-08-11 |