| NPI | 1699905224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301094459) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036141696) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2016-12-12 |