| NPI | 1891107199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX V3903) |
| Additional Taxonomies | 208600000X Surgery (Licence: DE C2-0013655) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2024-10-24 |