| NPI | 1205043445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: SC 31355) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC T00000) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-11-11 |