| NPI | 1861436453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 36117907) |
| Additional Taxonomies | 208600000X Surgery (Licence: NE 23680) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2021-11-18 |