| NPI | 1801892815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KS 04-31304) |
| Additional Taxonomies | 208600000X Surgery (Licence: KS 04-31304) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2021-03-01 |