| NPI | 1982042297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 75374-20) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.149451) |
| 208600000X Surgery (Licence: MI 4301103097) | |
| Enumeration Date | 2013-06-08 |
| Last Update Date | 2022-08-04 |