| NPI | 1083842884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101267408) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 260972) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2021-10-20 |