| NPI | 1750343406 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI JH062815)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 22616)  | 
| 207V00000X Obstetrics & Gynecology (Licence: CA G80257)  | |
| Enumeration Date | 2006-04-06 | 
| Last Update Date | 2009-12-01 |