| NPI | 1710273982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NJ 25MA10413700) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CT 64842) |
| 207X00000X Orthopaedic Surgery (Licence: PA MT199166) | |
| Enumeration Date | 2011-06-25 |
| Last Update Date | 2020-12-10 |