| NPI | 1013322536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 35947) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SD 11001) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2023-11-10 |