| NPI | 1780618025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: IL 036140301) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: TN 57837) |
| 174400000X Specialist (Licence: VA 0101043562) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2018-11-09 |