| NPI | 1003914961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NH 14668) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM 96-204) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2019-03-18 |