| NPI | 1669468898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 54444) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 105533) |
| 208600000X Surgery (Licence: IL 036082157) | |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2020-08-14 |