| NPI | 1902066210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 255431) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 53014) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2021-03-30 |