| NPI | 1720316086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA08668400) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 214656) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2022-09-16 |