| NPI | 1093125619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2018-01590) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 200925) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2023-03-10 |