| NPI | 1356439400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 60523) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 44377) |
| 207V00000X Obstetrics & Gynecology (Licence: FL AD9470826-503839) | |
| 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: FL ME97309) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2019-10-14 |