| NPI | 1295229292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 335347) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125072399) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2025-04-22 |