| NPI | 1386614808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OK 2327) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO 25819) |
| 208600000X Surgery (Licence: MI 5101007771) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2025-09-11 |