| NPI | 1275790495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA MD.204587) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NC 2012-00034) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2023-02-08 |