| NPI | 1972916294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: IL 036141145) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125-064456) |
| 2086S0129X (Licence: IN 01096497A) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2025-08-07 |