| NPI | 1285048181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2018-00972) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101270282) |
| 207V00000X Obstetrics & Gynecology (Licence: SC LL37074) | |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2022-08-02 |