| NPI | 1265728083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX R7598) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.059462) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2019-02-27 |