| NPI | 1659803963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WY 16372A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125071064) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-10-30 |