| NPI | 1417087768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 83212) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101015578) |
| 207V00000X Obstetrics & Gynecology (Licence: TN DO1853) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-07-10 |