| NPI | 1235695784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 32909) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 32909) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2023-06-27 |