| NPI | 1073889887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 125.062224) |
| Additional Taxonomies | 208600000X Surgery (Licence: DC DO210001283) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2021-10-12 |