| NPI | 1902829567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036.134717) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A65913) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2014-04-18 |