| NPI | 1356780928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101266029) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D86121) |
| 207V00000X Obstetrics & Gynecology (Licence: MA 256714) | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2022-01-04 |