| NPI | 1033523501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X (Licence: IL 036.166578) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT207459) |
| 208600000X Surgery (Licence: IL 036.166578) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2024-09-24 |