| NPI | 1356723175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: HI MD-22493) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2021-00815) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2022-07-25 |