| NPI | 1275876864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 4888) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 12550503-1205) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2024-12-24 |