| NPI | 1134489396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2016-00462) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 183178) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2020-10-25 |