| NPI | 1730380767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 006424) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 006424) |
| 363AS0400X Physician Assistant, Surgical (Licence: NY 006424) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2007-07-08 |