| NPI | 1710138995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 253223) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036112712) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2021-04-09 |