NPI | 1679771349 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: TX S9262) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036119079) |
2086S0120X Surgery, Pediatric Surgery (Licence: IL 036119079) | |
Enumeration Date | 2007-07-04 |
Last Update Date | 2021-02-12 |