| NPI | 1609372457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD H0100242) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA OS023531) |
| 208600000X Surgery (Licence: DE C2-0024486) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-05-16 |