| NPI | 1649385626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: DE C2-0012056) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA OS013314) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-06-22 |