| NPI | 1912133836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036141711) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301094463) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2019-03-18 |