NPI | 1134427594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: CA 20A11327) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036136051) |
Enumeration Date | 2011-03-09 |
Last Update Date | 2021-12-08 |