| NPI | 1417163452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL OS16944) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 34.010746) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-12-16 |