| NPI | 1144548884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 82108) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN14644) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2019-04-30 |