| NPI | 1235343674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IA DO-04637) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA DO-04637) |
| 207Q00000X Family Medicine (Licence: IL 036-126499) | |
| 208600000X Surgery (Licence: IL 036-126499) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2024-01-02 |