| NPI | 1578903100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036166570) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 207X00000X Orthopaedic Surgery (Licence: VA 0101257111) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2024-02-20 |