| NPI | 1790933125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036126198) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125049638) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2022-04-19 |