NPI | 1851773543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: WA MD61198114) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 125067690) |
Enumeration Date | 2015-06-18 |
Last Update Date | 2022-07-29 |