| NPI | 1295727717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 26475) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 200500632) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2021-01-22 |