| NPI | 1578976775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2022-01411) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.146287) |
| 207QS0010X Family Medicine, Sports Medicine (Licence: IL 036.146287) | |
| 207Q00000X Family Medicine (Licence: VA 0116026885) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2022-09-21 |