| NPI | 1871055863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 81691) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.074747) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2026-02-09 |