| 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 |