| NPI | 1356720742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0098526) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.159791) |
| 208600000X Surgery (Licence: PA MT208305) | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2023-10-16 |