| NPI | 1255714119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: NV DO2593) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NV DO2593) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2023-03-16 |