| NPI | 1861690612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA 20A 10320) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL IL 125-043357) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2010-08-13 |