| NPI | 1063037877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN 74369) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4351046897) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2025-07-07 |