| NPI | 1053308627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 66674) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA 36207) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2024-05-15 |