| NPI | 1255782322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 32644) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 7763) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2020-07-29 |