| NPI | 1346394681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME113638) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 36626) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2022-08-01 |