| NPI | 1063628956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 02004094A) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0102202410) |
| 208600000X Surgery (Licence: ME DO2928) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2019-09-16 |