NPI | 1952821514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD476709) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA11754200) |
Enumeration Date | 2017-06-26 |
Last Update Date | 2024-09-25 |