| NPI | 1164817185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS18367) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OS020086) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2022-03-31 |