| NPI | 1609317965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX V0703) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.070260) |
| Enumeration Date | 2017-03-19 |
| Last Update Date | 2024-08-22 |