| NPI | 1578651899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: IL 036117934) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.117934) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2022-01-20 |