| NPI | 1356502942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.142521) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 280115) |
| 207V00000X Obstetrics & Gynecology (Licence: KS 94-08246) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2022-02-03 |