| NPI | 1255852604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 68212) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2017018380) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2023-09-15 |