| NPI | 1194143974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 25717) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI IN PROGRESS) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2018-09-04 |