| NPI | 1316266703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0063060) |
| Additional Taxonomies | 208600000X Surgery (Licence: NV 16016) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2019-08-12 |