| NPI | 1609139997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NH 23462) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WV 2845) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2023-08-03 |