| NPI | 1942886700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: DE C2-0025083) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA OS024985) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2026-07-24 |