| NPI | 1639148422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 70768) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 4868-320) |
| 207V00000X Obstetrics & Gynecology (Licence: MO 103629) | |
| 207V00000X Obstetrics & Gynecology (Licence: TN 70768) | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2025-09-05 |