| NPI | 1740289701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01070151A) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 100821) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2023-07-20 |