| NPI | 1912569047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 02008404A) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5151014035) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2025-12-02 |