| NPI | 1205009149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA 40196) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WV 24558) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2022-07-21 |