| NPI | 1215952650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036.123221) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2004028841) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-02-12 |