| NPI | 1477112910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: DE C1-0028298) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT218588) |
| Enumeration Date | 2019-06-09 |
| Last Update Date | 2025-06-10 |