| NPI | 1255364063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036084811) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: IL 036084811) |
| 208600000X Surgery (Licence: IL 036084811) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2025-11-12 |