| NPI | 1508328980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: DE C2-0024792) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 76408) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2025-09-17 |