| NPI | 1518305119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036-174007) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 84461) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2025-08-22 |