| NPI | 1932547338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ID O-1050) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ID O-1050) |
| 207V00000X Obstetrics & Gynecology (Licence: IN 11017243A) | |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2020-09-18 |