| NPI | 1942868658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 125074249) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA MD-64865) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2025-05-04 |