| NPI | 1952635609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ID O-0723) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125054869) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2022-02-15 |