| NPI | 1659576767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN DO2784) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 52094) |
| 207V00000X Obstetrics & Gynecology (Licence: PA OS015623) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2022-02-11 |