| NPI | 1700105921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID M-15198) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2013-01821) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2026-01-16 |