| NPI | 1902192404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 036.146039) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.059379) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2022-01-20 |