| NPI | 1508087107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KS 04-43502) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301089332) |
| 208600000X Surgery (Licence: WI 51331-20) | |
| 208600000X Surgery (Licence: NV 15090) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-10-07 |