| NPI | 1306933197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D90687) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 45061-020) |
| 208600000X Surgery (Licence: IL 036120187) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2021-01-04 |