| NPI | 1821476698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: NY 293859) |
| Additional Taxonomies | 207QS0010X Family Medicine Sports Medicine (Licence: NY 293859) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2023-05-15 |