| NPI | 1831517788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KS 04-51126) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2019029658) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2025-06-19 |