| NPI | 1366610297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA PENDING) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 31900) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2022-05-20 |