| NPI | 1902017072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: PA MD446317) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NJ 25MA09107300) |
| 207X00000X Orthopaedic Surgery (Licence: NY AN1829677) | |
| 207X00000X Orthopaedic Surgery (Licence: MA 246373) | |
| 207X00000X Orthopaedic Surgery (Licence: NY 246271) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2015-11-10 |