| NPI | 1700327921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A196464) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125070479) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2024-10-30 |