| NPI | 1225255466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WY 9301A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SD 8613) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2021-10-29 |