| NPI | 1558415539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA MD60872369) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01062515A) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2022-11-23 |