| NPI | 1790104578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 296800) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT206594) |
| 207X00000X Orthopaedic Surgery (Licence: NY 296800) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2022-10-12 |