| NPI | 1134563422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2020-03938) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 28127) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2021-11-04 |