| NPI | 1710998877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CT 029049) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 169569) |
| 207X00000X Orthopaedic Surgery (Licence: NJ 50622) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2022-10-28 |