| 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 |