| NPI | 1154300119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101-236217) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101236217) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2019-01-02 |