| NPI | 1154549004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN MD45088) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2007-00967) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2022-03-15 |