| NPI | 1619105178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IL 125.064363) |
| Additional Taxonomies | 208600000X Surgery (Licence: KS 7188) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2021-08-02 |