| NPI | 1043280050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MT 83792) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 21575) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2020-08-06 |