| NPI | 1740576560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60533289) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 11016231A) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2021-06-15 |