| NPI | 1104347533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: IL 036.173770) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125071023) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2025-10-27 |