| NPI | 1588985279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: DE C1-0012102) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT197569) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2022-07-21 |