| NPI | 1982887493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: TX M8193) |
| Additional Taxonomies | 2086S0120X Surgery Pediatric Surgery (Licence: IL 036139932) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2020-10-14 |