| NPI | 1801327655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 328338) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NY 328338) |
| 207X00000X Orthopaedic Surgery (Licence: MA 1014238) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2024-11-25 |