| NPI | 1982198461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 104937) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 12507267) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2025-06-29 |