| NPI | 1164665428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036159613) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC TL37495) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2022-06-15 |