| NPI | 1164956488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD204213) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 10957213-1205) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2021-06-17 |