| NPI | 1033567219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 85957) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL 23015) |
| Enumeration Date | 2016-05-30 |
| Last Update Date | 2020-08-26 |