| NPI | 1366735300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: ID MC-0232) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01071766A) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2022-07-21 |