| NPI | 1952824302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 125.071450) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036165199) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2024-08-30 |