| NPI | 1962996488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036.158360) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.072297) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2022-09-10 |