| NPI | 1477845444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN DO2730) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101019227) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2015-06-23 |