| NPI | 1770964280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 308333) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA L-263063) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2023-03-14 |