| NPI | 1194111955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NH 24698) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A167756) |
| 208600000X Surgery (Licence: IL 036157058) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2023-09-01 |