| NPI | 1174152045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 92331) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 100876) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2024-08-08 |