| NPI | 1467956912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 340595) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.170532) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2025-12-04 |