| NPI | 1740289156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101037054) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 47787) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2017-02-24 |