| NPI | 1801891569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID M-10332) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35079854F) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2008-09-02 |