| NPI | 1992149017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01082294A) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301114140) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2022-01-05 |