NPI | 1831259753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA08736300) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT183806) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2020-07-17 |