| NPI | 1316919681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA 3572) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 49584) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2023-07-11 |