| NPI | 1255793931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC MD84040) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 86006) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2020-06-25 |