| NPI | 1467847723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01087610A) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 334189) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2025-04-29 |