| NPI | 1164613816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 1655) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 51464) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2019-09-23 |