| NPI | 1356870745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 95486) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PR 35362) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2023-06-14 |