| NPI | 1427031129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 112784) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01057613A) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2015-03-02 |