| NPI | 1669648218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AR E-14469) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 64411) |
| 208600000X Surgery (Licence: MN 47501) | |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2021-09-29 |