| NPI | 1912193640 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 71584-21) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 02006694A) | 
| 207V00000X Obstetrics & Gynecology (Licence: MI 1132870) | |
| Enumeration Date | 2007-09-17 | 
| Last Update Date | 2025-09-22 |