| NPI | 1295785913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL 156775) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 34977) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2022-08-11 |