| NPI | 1033167945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 039292) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2017-01649) |
| 207V00000X Obstetrics & Gynecology (Licence: NH 18058) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2022-11-11 |