| NPI | 1609187590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036143159) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA MD-43580) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2017-08-16 |