| NPI | 1962930438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KS 04-49556) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 32983) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2025-06-04 |