| NPI | 1114913944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 34112) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036104352) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036104352) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2011-09-12 |