| NPI | 1164786497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036154797) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5101020122) |
| 208600000X Surgery (Licence: MO 2018043034) | |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2023-04-19 |