| NPI | 1275160145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036.178743) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.076552) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2026-06-18 |