| NPI | 1780200170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA13111300) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2020017732) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2026-08-05 |