| NPI | 1811622442 |
|---|---|
| Former Name | ELIZABETH CLARE TRAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NC RTL22-0106) |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-07-18 |