| NPI | 1316385776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 74793) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 56192) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2021-07-08 |