| NPI | 1720387079 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IL 036173014)  | 
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036173014)  | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-03-24 | 
| Last Update Date | 2025-01-15 |