| NPI | 1245269851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 36747) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 36747) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2019-11-15 |