NPI | 1083977706 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: IL 036173369) |
Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: VA 0101272864) |
Enumeration Date | 2012-06-18 |
Last Update Date | 2025-06-23 |