| NPI | 1528066032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD060771L) |
| Additional Taxonomies | 208600000X Surgery (Licence: DE C10005645) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2023-01-05 |