NPI | 1356790851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: IN 02007042A) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 5101022569) |
2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: MI 5101025758) | |
Enumeration Date | 2016-06-07 |
Last Update Date | 2025-08-11 |