| NPI | 1063902294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 87763) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 102301) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2024-11-04 |