| NPI | 1003873399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 49734) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL MD.29488) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2019-11-22 |