| NPI | 1316478795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: MD H0101422) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0102208597) |
| 208600000X Surgery (Licence: IN 02006836A) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2024-08-14 |