| NPI | 1124412119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NH 21524) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VT 042.0014325) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2022-08-11 |