| NPI | 1043449317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036134683) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 284351) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2023-11-03 |