| NPI | 1487655866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: DE C20006485) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN 3108) |
| 208600000X Surgery (Licence: DE C2-0024243) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2023-07-06 |