| NPI | 1851588024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD444282) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036130288) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2023-10-03 |