| NPI | 1073005492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 23324) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PR 23324) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2024-05-10 |