| NPI | 1922596436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35.150814) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.164501) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2024-10-24 |