| NPI | 1649447459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01066186A) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 091719) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2021-01-28 |