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 |