| NPI | 1184654311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: OR MD192816) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM 2001-264) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2022-09-06 |