| NPI | 1760111728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC RTL23-0377) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 39596) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2023-06-27 |