| NPI | 1235497645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 25290) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 75979) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2020-11-16 |