| NPI | 1134481740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 52185) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ R73314) |
| Enumeration Date | 2012-06-10 |
| Last Update Date | 2021-01-26 |