| NPI | 1043690480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2019-01682) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL37670) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2023-07-25 |