| NPI | 1124225123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2011020916) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 5619) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2024-02-02 |