| 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 |