| NPI | 1780664078 |
|---|---|
| Former Name | SUSANNE ROSA GERTRAUD GELBKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301084823) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 222840) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2010-03-17 |