| NPI | 1972898773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: RI DO00883) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ OT014250) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2017-07-28 |