| NPI | 1003044520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01068988A) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2021-03-15 |