| NPI | 1306296975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2020-01097) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL39699) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2022-08-10 |