| NPI | 1124234331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: HI DOS-1217) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101016241) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2011-10-05 |