| NPI | 1235268210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 32540) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 135029) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2021-03-04 |