| NPI | 1942243811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036100456) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301064187) |
| 208600000X Surgery (Licence: ND 11827) | |
| 208600000X Surgery (Licence: OK 27935) | |
| 208600000X Surgery (Licence: KS 0433646) | |
| 208600000X Surgery (Licence: MO 2009002719) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-11-17 |