| NPI | 1720107261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: IL 036135686) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036135686) |
| 2086S0129X (Licence: WI 52433) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2026-04-03 |