| NPI | 1295936011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2008018558) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2004016262) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-11-13 |