| NPI | 1003255225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2018-02069) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01079781A) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301103430) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2023-06-02 |