| NPI | 1104069137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA 43936) |
| Additional Taxonomies | 208D00000X General Practice (Licence: HI MD-14677) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2022-07-21 |