| NPI | 1326452319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: OH 35.133576) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 7222) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2021-08-03 |