| NPI | 1306301940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 33206) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 33206) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2023-08-22 |