| NPI | 1104157577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036-133115) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN 54657) |
| Enumeration Date | 2010-01-24 |
| Last Update Date | 2023-08-02 |