| NPI | 1609312149 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 1402-320) | 
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 1402) | 
| 207V00000X Obstetrics & Gynecology (Licence: CA A151099) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IA MD-47373) | |
| Enumeration Date | 2017-01-09 | 
| Last Update Date | 2023-03-27 |