| NPI | 1265571046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WY 11313A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 155750) |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: MA 155750) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-10-05 |