| NPI | 1306962618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NC 2021-01594) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2012018822) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2021-05-21 |