NPI | 1568472355 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: DE C2-0023961) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 34008785) |
208600000X Surgery (Licence: AK 8311) | |
Enumeration Date | 2006-08-08 |
Last Update Date | 2024-12-12 |