| NPI | 1316960529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 19537) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2013030521) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2022-11-02 |