| NPI | 1053467852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID M-14467) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101233097) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2019-01-11 |