| NPI | 1013543297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: DC MD500003317) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.077381) |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2025-04-14 |