| NPI | 1093773715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 18070) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 210734) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-03-12 |