| NPI | 1043283211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2012-01422) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101238732) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-10-25 |