| NPI | 1184768384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 36806) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 52202) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2016-08-17 |