| NPI | 1194174474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2020-01091) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC MMD.39666LL) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2020-07-01 |