| NPI | 1285071779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 40741) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 191724) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2022-07-21 |