| NPI | 1356784060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 61839) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VT 042.0013790) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2021-03-29 |