| NPI | 1679537526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KY 50987) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01061970A) |
| Enumeration Date | 2006-04-16 |
| Last Update Date | 2021-07-27 |