| NPI | 1114151099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: UT 12132686-8905) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 255681) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2021-03-15 |