| NPI | 1053726257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 6789) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01082452A) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2022-01-03 |