| NPI | 1528221785 | 
|---|---|
| Former Name | IRMINNE GELDERLOOS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208600000X Surgery (Licence: ND 12890) | 
| Additional Taxonomies | 208600000X Surgery (Licence: ND TRL 10940) | 
| Enumeration Date | 2008-07-08 | 
| Last Update Date | 2021-05-07 |