| NPI | 1427547892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036177482) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.150756) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2025-11-18 |