| NPI | 1790006468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036143597) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125-058073) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NV 15961) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2021-05-03 |