| NPI | 1306230594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 89985) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 147009) |
| 207V00000X Obstetrics & Gynecology (Licence: AL 38612) | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2022-01-26 |