| NPI | 1063627479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01074066A) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D75370) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2022-06-23 |