| NPI | 1720396203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036.152825) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: MI 4301099549) |
| Enumeration Date | 2010-09-19 |
| Last Update Date | 2020-07-02 |