| NPI | 1609217421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036176025) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 72977) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036176025) | |
| 171000000X Military Health Care Provider | |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2025-10-24 |