| NPI | 1780629147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 22216) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 055106) |
| 207V00000X Obstetrics & Gynecology (Licence: AR E-14934) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2021-12-29 |