| NPI | 1124349964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 071169) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 4150) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2019-03-08 |