| NPI | 1215132907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 02005584A) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0102202223) |
| 208600000X Surgery (Licence: NC 2014-00292) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2022-07-14 |