| NPI | 1124280367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD177083) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101248109) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2021-02-16 |