| NPI | 1356567986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 36253) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 062209) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2019-12-30 |