| NPI | 1275618167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 202K00000X Phlebology (Licence: FL ME46520) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME46520) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-06-04 |