| NPI | 1083687081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2017-01593) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 48086) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2022-07-21 |