| NPI | 1235498510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA A160645) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ R73560) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2020-07-07 |