| NPI | 1528146065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 47411) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036-088319) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-07-21 |