| NPI | 1821355421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TN 62766) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA 333667) |
| 207V00000X Obstetrics & Gynecology (Licence: IL 036141252) | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2023-07-27 |