| NPI | 1518911619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: IL 036150851) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036150851) |
| 2086S0129X (Licence: NY 230018) | |
| 208600000X Surgery (Licence: NY 230018) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2025-08-13 |