| NPI | 1124467667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC MD35756) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL35756) |
| 207V00000X Obstetrics & Gynecology (Licence: NC 2016-02350) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2018-12-27 |