| NPI | 1053725796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35.146421) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125065608) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2022-10-12 |