| NPI | 1588964357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: IL 036.132226) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PA OT012634) |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2017-04-06 |