| NPI | 1134375215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301505858) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125053237) |
| 208600000X Surgery (Licence: NY 264752-1) | |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2022-10-20 |