| NPI | 1942663307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 66250) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 54336) |
| 207V00000X Obstetrics & Gynecology (Licence: KY TP545) | |
| 207V00000X Obstetrics & Gynecology (Licence: TN 66250) | |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2025-09-05 |