| NPI | 1184144909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL 149325) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 009021) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2021-06-23 |