| NPI | 1790198141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2024-01672) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02006184A) |
| 207Q00000X Family Medicine (Licence: AZ R2438) | |
| 207Q00000X Family Medicine (Licence: UT 10917758-1204) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2024-07-09 |