| NPI | 1669908208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA MD61654566) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036167412) |
| 208600000X Surgery (Licence: HI MDR-7281) | |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2025-12-10 |