| NPI | 1194139444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 36944) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC MMD.36944LL) |
| Enumeration Date | 2014-06-15 |
| Last Update Date | 2018-07-02 |