| NPI | 1194068122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2017-00611) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101279756) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2024-12-19 |