| NPI | 1912323239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: HI MD-18366-0) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO DR.0072878) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2025-08-18 |