| NPI | 1275557647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2019-02521) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 40364) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-04-20 |