| NPI | 1376167791 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 76787) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: HI MDR-7930) | 
| Enumeration Date | 2020-06-01 | 
| Last Update Date | 2024-06-14 |