| NPI | 1639335029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036.124662) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125051308) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2019-03-22 |