| NPI | 1255990719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2023-01746) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL82792) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2023-08-31 |