| NPI | 1083977151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 02006582A) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5101019735) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2024-06-04 |