| NPI | 1073037172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0024175164) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: VA 980196) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2017-08-18 |