| NPI | 1013217249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036133475) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 11014608A) |
| 208600000X Surgery (Licence: WI 6694321) | |
| 208600000X Surgery (Licence: OH 34.011150) | |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2018-05-16 |