| NPI | 1548640386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X (Licence: IL 036143888) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125066659) |
| 2086S0129X (Licence: IN 01094916A) | |
| Enumeration Date | 2015-06-07 |
| Last Update Date | 2025-06-05 |