| NPI | 1790075737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: DE C1-0026741) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD449971) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2024-07-10 |