| NPI | 1336241058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME84559) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AK 6153) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 208936) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2022-07-21 |