| NPI | 1619037405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ 57515) |
| Additional Taxonomies | 208600000X Surgery (Licence: KS 04-32360) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2019-05-06 |