| NPI | 1790980670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: HI MD-17394) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA a100166) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2021-06-09 |