| NPI | 1013397405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01083846A) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL38246) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2021-07-23 |