| NPI | 1679736797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01080900A) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35099229) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2018-12-06 |