| NPI | 1083962278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: VT 042.0014043) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NV 16313) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2022-03-21 |