| NPI | 1801847595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KS 0428286) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2005029304) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2022-01-27 |