| NPI | 1396378014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MN 79067) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 125079209) |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2025-05-05 |