| NPI | 1093913584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: IL 036.129011) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: NC 2009-02086) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2012-04-30 |