| NPI | 1306289046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 63226-20) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2017001216) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2024-01-04 |