| NPI | 1073618245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL 11015475) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA RN133900) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2022-01-25 |