| NPI | 1790930014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: NY 291079) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MB0947900) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2018-03-17 |