| NPI | 1528351350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35.132170) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036129496) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2021-01-12 |