| NPI | 1235131434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 63750) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 105973) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2021-09-29 |