| NPI | 1255794376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 68223) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 6354) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2023-11-02 |