| NPI | 1154974848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ R77231) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: AZ R77231) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2023-11-27 |