| NPI | 1164909925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 078290) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 1164909925) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2024-07-24 |